Persian Translation and Determining the Validity of 2020 Standards for Health‑Promoting Hospitals and Health Services Affiliated with the World Health Organization
Abstract
Background: Since the establishment of the International Health Promotion Hospitals (HPH) in 2006, standards have been designed to evaluate this network. Based on the request of the General Assembly of HPH, the new standards have been revised in 2020 to be in harmony with the new global strategy of HPH for the years 2021–2025. The present study was conducted to translate the original version of the self‑evaluation form of HPH and to determine its validity and reliability in Iranian society. Methods: The standard process of forward and backward translation was followed after that to determine the face validity of the Persian version of HPH standards, fifteen experts from ten hospitals in five major cities in Iran (Tehran, Mashhad, Isfahan, Shiraz and Hamadan) gave their opinions about 86 standard statements based on a five‑point Likert scale, and the impact score was calculated. For determining content validity, both the content validity ratio (CVR) and content validity index (CVI) were used. Results: All 86 standard statements of the five main standards had an impact score higher than 1.5. Also, regarding CVR, all 86 standard statements had a score higher than 0.49 (the minimum plausible score based on Lawshe’s table). Finally, after calculating the CVI, all the standard statements had a CVI higher than 0.8, which indicated a very good content validity index for all the items. Conclusions: According to the results of this study, the Persian form of the 2020 HPH standards is valid enough to be used in Iranian hospitals and health services.
International Journal of Preventive Medicine 14(1):119, October 2023. | DOI: 10.4103/ijpvm.ijpvm_44_23
Corresponding Author: Dr. Akbar Nikpajouh
E‑mail: dr.nikpajouh@gmail.com
You can also search for this author in:PubMed Google Scholar
Keywords
Full Text:
PDFReferences
Pelikan JM, Metzler B, Nowak P. Health promoting hospitals. In: Handbook of Settings Based Health Promotion. Cham: Springer International Publishing; 2022. p. 119 49.
Pelikan JM, Dietscher C, Krajic K, Nowak P, Groene O, Garcia Barbero M. 18 Core strategies for health promoting hospitals (HPH). In: O. Groene and M. Garcia Barbero, editors. World Health Organization; Springer Netherlands: 2005. p. 46 63.
The International Network of Health Promoting Hospitals and Health Services. 2020 Standards for Health Promoting Hospitals and Health Services. Available from: www.hphnet. org/wp content/uploads/2020/12/2020 HPH Standards.pdf. [Last access on 2020 Dec 21].
Groene O, World Health Organization. Implementing Health Promotion in Hospitals: Manual and Self Assessment Forms. Copenhagen: WHO Regional Office for Europe; Barcelona, Spain: 2006.
Bauer GF, Hämmig O, Pelikan JM, Schmied H, Dietscher C. Improving organizational health: The case of health promoting hospitals. Bridging Occupational, Organizational and Public Health: A Transdisciplinary Approach. Springer Nature Switzerland AG, Switzerland: 2014. p. 133 53.
Rojatz D, Metzler B. Reflections on health promotion research in the field of health promoting health care: The what, why, and how of the Viennese tradition. Global Handbook of Health Promotion Research. Vol. 2022:595.
Lawshe CH. A quantitative approach to content validity. Personnel Psychol 1975;28:563 75.
Nikpajouh A, Shahrbaf MA, Doayie M, Mohseny M, Ebadi A, Alizadeh M, et al. Health promoting hospitals in Iran: Persian translation, cultural adaptation, content and face validation of self assessment form of the standards of health promoting hospitals affiliated to the World Health Organization. Med J Islam Repub Iran 2018;32:120. doi: 10.14196/mjiri. 32.120.
Seif Rabiei MA, Khanlarzadeh E, Nikpajouh A, Doaee M, Sanaei Z. Evaluating health promotion standards at the Farshchian heart center of Hamadan, Iran. Hosp Pract 2020;48:282 8.
Pezeshki MZ, Alizadeh M, Nikpajouh A, Ebadi A, Nohi S, Soleimanpour M. Evaluation of the health promotion standards in governmental and non governmental hospitals in East Azerbaijan. Med J Islam Repub Iran 2019;33:113. doi: 10.47176/mjiri.33.113.
Yaghoubi M, Karamali M, Bahadori M. Effective factors in implementation and development of health promoting hospitals: A systematic review. Health Promot Int 2019;34:811 23.
Yazdi Feyzabadi V, Naghavi S. Challenges of establishing the health promoting hospitals (HPH) approach in Kerman. Health Dev J 2021;10:110 8.
Taghdisi MH, Poortaghi S, Suri JV, Dehdari T, Gojazadeh M, Kheiri M. Self assessment of health promoting Hospital’s activities in the largest heart Hospital of Northwest Iran. BMC Health Serv Res 2018;18:1 9. doi: 10.1186/s12913 018 3378 1.
Motamed Jahromi M, Abbaszadeh A, Tatar K. Iranian nurses’ perceptions of patient advocacy. JNMS 2015;2:53 8.
Negarandeh R, Nayeri ND. Patient advocacy practice among Iranian nurses. Indian J Med Ethics 2012;9:190 5.
Davoodvand S, Abbaszadeh A, Ahmadi F. Patient advocacy from the clinical nurses’ viewpoint: A qualitative study. J Med Ethics History Med 2016;9:5.
Cattacin S. Standards for equity in healthcare provision and utilization: Pilot test in sixteen countries. Divers Equal Health Care 2020;17:115 24.
Mehri S, Hosseini MA, Fallahi Khoshknab M, Mohammadi Shahbelaghi F, Akbari Zardkhaneh S. Clarification of ageism in the care system. Iranian J Ageing 2020;15:14 27.
Sadati AK, Lankarani KB. Disparities and discrimination against people with HIV/AIDS by healthcare providers in Iran. Iran J Public Health 2019;48:1935 6.
Lankarani KB, Alavian SM, Peymani P. Health in the Islamic Republic of Iran, challenges and progresses. Med J Islam Repub Iran 2013;27:42. 21. Mehrdad R. Health system in Iran. JMAJ 2009;52:69 73.